Mendhe Harshal Gajanan, David Rohit, Singh Daneshwar, Makade Kiran G
Department of Community Medicine, Government Medical College, Ambikapur, Chhattisgarh, India.
Department of Community Medicine, GMC, Rajnandgaon Chhattisgarh, India.
J Family Med Prim Care. 2021 Mar;10(3):1313-1319. doi: 10.4103/jfmpc.jfmpc_2226_20. Epub 2021 Apr 8.
Universal Health Coverage refers to health care system that provides health care and financial protection to all the citizen. Rashtriya Swasthya Bima Yojna as National Health Insurance Scheme initiated in Chhattisgarh State in 2009 for below poverty line families. Second scheme is Mukhyamantri Swasthya Bima Yojna initiated in 2012, which covers non below poverty line families.
To assess socio demographic factors among women residing in slum of Rajnandgaon, to find their universal health insurance coverage under RSBY/ MSBY and to assess the extent of concerned treatment under RSBY/MSBY.
It was a community based cross sectional study, conducted in the urban slum area of Rajnandgaon amongst 188 women above 18 years of age who were hospitalized 6 months prior to the study using snow ball technique as a sampling method. They were interviewed using semi structured questionnaires by the investigator with the help of anganwadi worker.
77.65% respondents/study subjects were enrolled under the universal health insurance (RSBY card/ MSBY card). Subjects belonging to Lower socio-economic status and having BPL card were enrolled under scheme more than upper socio-economic group. Out of 146 smart card holders, a mere 1.36% subjects incurred catastrophic OOPE. Out of 42 respondents not having smart card, 40.47% subjects incurred catastrophic OOPE.
The RSBY card reduced the inpatient OOPE. RSBY card prevented catastrophic OOP in most of the respondent. RSBY has made health services accessible to all sections of community at minimal cost.
全民健康覆盖是指为全体公民提供医疗保健和经济保护的医疗保健系统。拉什特里亚·斯瓦蒂亚·比马约纳（Rashtriya Swasthya Bima Yojna）作为国家健康保险计划于2009年在恰蒂斯加尔邦启动，面向贫困线以下家庭。第二个计划是2012年启动的首席部长健康保险计划（Mukhyamantri Swasthya Bima Yojna），覆盖非贫困线以下家庭。
评估赖金德冈（Rajnandgaon）贫民窟女性的社会人口学因素，了解她们在拉什特里亚·斯瓦蒂亚·比马约纳（RSBY）/首席部长健康保险计划（MSBY）下的全民健康保险覆盖情况，并评估在RSBY/MSBY下相关治疗的程度。
这是一项基于社区的横断面研究，在赖金德冈的城市贫民窟地区对188名18岁以上的女性进行，这些女性在研究前6个月住院，采用滚雪球技术作为抽样方法。调查人员在anganwadi工作人员的帮助下，使用半结构化问卷对她们进行访谈。
77.65%的受访者/研究对象参加了全民健康保险（RSBY卡/MSBY卡）。社会经济地位较低且持有贫困线以下卡的对象比社会经济地位较高的群体更多地参加了该计划。在146名智能卡持有者中，仅有1.36%的对象发生了灾难性自付费用。在42名没有智能卡的受访者中，40.47%的对象发生了灾难性自付费用。
RSBY卡降低了住院自付费用。RSBY卡防止了大多数受访者发生灾难性自付费用。RSBY以最低成本使社区各阶层都能获得医疗服务。
